S41.15 (Open bite of upper arm) compared with S48 (Traumatic amputation of shoulder and upper arm), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Not coded here — these two are mutually exclusive.
“traumatic amputation of shoulder and upper arm (S48.-)”
An Excludes1 note means the two conditions cannot occur together, so the pair should not be reported for the same encounter. The sole exception is when the conditions are documented as unrelated to each other.
Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a
No — do not report together. S41.15 carries an Excludes1 note covering S48: “traumatic amputation of shoulder and upper arm (S48.-)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
| S41.15Open bite of upper arm | S48Traumatic amputation of shoulder and upper arm | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header Report instead: S48.011A, S48.011D, S48.011S, S48.012A, S48.012D |
| Classification | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) |
| Definition | Open bite of upper arm is a non-billable ICD-10-CM category code (S41.15). | Traumatic amputation of shoulder and upper arm is a non-billable ICD-10-CM category code (S48). |
| 7th character | The appropriate 7th character is to be added to each code from category S41 | The appropriate 7th character is to be added to each code from category S48 |
| Includes | injuries of axilla injuries of scapular region Bite of upper arm NOS | injuries of axilla injuries of scapular region An amputation not identified as partial or complete should be coded to complete |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources